NPI | 1952548281 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ AZ9028) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC31057) |
Enumeration Date | 2009-01-08 |
Last Update Date | 2023-01-03 |